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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V Cc
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑
YYYYMMDD
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) -- WASTEWATER
SUBMIT TO CENTRAL OFFICE`
General Permit No. NCG020000
Calendar Year 2019
'Report ALL WASTEWATER monitoring data on this form (include "No Flow"f'No Discharge" and Limit Violations) from the previous calendar year to the
DEO by MARCH t of each year.
Cerliticate of Coverage No. NCC'020063
Facility Name: Wood Ieaf Q tinny
County: Rowan
Phone Number: 704-278-2218 'Total No. of Oulfflls Monitored
CCI'lihed Laboratory Pace AnaNtical I,ab # 40
Lab #
Wastewater (WW) Discharge Outfall No. 1
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes No x
Does this outfall discharge WW to SA waters? Yes No x
Does this outfall discharge WW to SB or PNA waters? Yes No x
Does this outfall discharge WW to HQW or ORW waters? Yes No x
If so, what is the 7Q10 flow rate? NA or Tidally influenced waters, 7Q10 not available
Does this outfall discharge WW to Trout (Tr) designated waters? Yes allo [:X�:]
Were there any limit violations in the calendar year? Yes No x
C E I
Outfall No. 1
Daily Flow
Rate, cfs
PH, SU
TSS, mg11
SS, mill
„,o�r,b„
Discharge
Turbidity, NTU
upstream (U)
TuNTUty,
Downstream (Dj
Turbidity, NTU
Fecal Coliform,
cJ}II100 ml
(SA)
Effluent
Limitations
Me, Avg. / Daffy
Max,
IIQ{i'arOKl1'
50 % 0f 7Q10
Indian, NO FLOW if
applicable
Frnh+,aJer 6.
9.0 Snit»„J,,,.
(+ •H K•5
Indusiri:d Smut 25/45
HQR' or OR11' 211130
H(2%V or un:w and Tr
nr PNA I fill 5
IIQ1v,oRW,
SA, Sn, i ;;\A or
any Trout
0 1tf12
No Limit
- ::.�d.,dm.�_1111:
i1i1y5fJ125110
NIA w..,
se.�a., on
NIA w.w�o�.niysudd«n
.PF4—
NIA
bale Sample
Collecled, molddlyr
51812039
056
7.7
4,9
ND
10.6t-
919/2019
0.37
9.0
5.9
ND
12,6
T a L V
C f ,:
r x
JJ1%
Perm it Date 1011/2015 — 9130/2020
Last Revised 10-2-2015
Certificate of Coverage No. NCG020053
CERTIFICATION
N certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those
persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete, I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CFR §122.221
Signature: � � Date: 1/29/2020
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone (919) 807-6300
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
(919) 707-9220
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2019
Report ALL STORMWATER monitoring data on this form (include "No Flow'Y'No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. tNCCO20063
Facility Name: Woodleaf
Cot] WV: Rowan
Phone Number: 704-2?N-2218 Total No. of SDOs Monitored l
Certified Laboratory face Analytical Lab # 40
Lab #
Stormwater Discharge Outfall (SDO) No. I 1 i VMIA Outfall? Yes No X
Is this outfall currently in Tier 2 for any parameter? Yes No X
Was this outfall ever in Tier 2 during the past year? Yes No X
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency
Yes, received approval from D>=MLR to reduce monitoring frequency
No, turbidity benchmark exceedarces did not require monthly monitoring
Other
Outfall No. 1
Total Rainfall,
inches
TSS, mg11
SS, ml/l
Turbidity,
NTU
upstream (U)
Turbidity, NTU
Downstream (D)
Turbidity, NTU
Non -polar 0&G,
mgll (VMA)
New Motor Oil
Usage
(gallmo.)
Stormwater
Benchmarks
mw..r.eorcowu
aPplf..W.
e"�•
aeocnmar.
100150
0.1
areie
eMmm.,r
50/2511 Q
NIA
w.te,aanr
9 u e+ a rpp4.
NIA
w.erau,n,r
s:.nm e.py..
7S
.�.r.a..gwn.
rssadao.�,
oac mannoAn
Date Sample
Collected, molddlyr
-
®■
®
_
®
-
1119 - 6/19
Na Discharge
6/19- 12/19
No Discharge
Permit Date 10/112015 — 913012020
Last Revised 10-2-2015
Certificate of Coverage No. NCG020063
CERTIFICATION
" I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel property gather and evaluate the information submitted. Based on my inquiry of the person or persons
who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge
and belief, true, accurate, and complete. i am aware that there are signlficant penaities for submitting false information, including the possibility of
fines and imprisonment for knowing violations."
[Required by 40 CFR § 122, 221
Signature:
Date: 1/29/2020
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct- Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone (919) 807-6300
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
(919) 707-9220
Permit Date 101112015 — 9/3012020
Last Revised 10-2-2015